Chiglitazar Added to Metformin for Type 2 Diabetes
A Randomised Double-blind Placebo Parallel Controlled Phase Ⅲ Clinical Study to Evaluate the Efficacy and Safety of Chiglitazar Added to Metformin in Patients With Type 2 Diabetes Inadequately Controlled With Metformin Monotherapy (RECAM)
1 other identifier
interventional
533
1 country
50
Brief Summary
The purpose of the trial is to evaluate the effect of Chiglitazar added to metformin to type 2 diabetes Inadequately controlled with metformin Monotherapy.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for phase_3 type-2-diabetes
Started Jul 2021
50 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
March 17, 2021
CompletedFirst Posted
Study publicly available on registry
March 19, 2021
CompletedStudy Start
First participant enrolled
July 6, 2021
CompletedPrimary Completion
Last participant's last visit for primary outcome
February 10, 2023
CompletedStudy Completion
Last participant's last visit for all outcomes
February 10, 2023
CompletedJuly 15, 2024
July 1, 2024
1.6 years
March 17, 2021
July 11, 2024
Conditions
Outcome Measures
Primary Outcomes (1)
percentage of HbA1c change from baseline
central lab test
24 weeks
Secondary Outcomes (5)
Changes in blood fasting plasma glucose level from baseline
12 and 24 weeks
Changes of HOMA-the IR value from baseline
12 and 24 weeks
Changes of blood lipids level from baseline
12 and 24 weeks
percentage of AEs
28 weeks
number of participants with lab abnormality
24 weeks
Study Arms (3)
Chiglitazar sodium 32mg QD+metformin
EXPERIMENTALChiglitazar 32mg qd+metformin
Chiglitazar sodium 48 mg QD+metformin
EXPERIMENTALChiglitazar 48 mg qd+metformin
placebo+metformin
PLACEBO COMPARATORplacebo+metformin
Interventions
Administrated once daily
Administrated once daily
most tolerable dose
Eligibility Criteria
You may qualify if:
- ) Provide a signed and dated informed consent form;
- ) Men and women aged ≥ 18 years and ≤ 75 years;
- ) According to the World Health Organization ( the WHO ) 1999 criteria for the diagnosis of type 2 diabetes;
- ) After metformin stable dose monotherapy (≥1500 mg/day or maximum tolerated dose, but the maximum tolerated dose not \< l000 mg/day) for at least 8 weeks;
- ) The local HbA1c value during the screening period: 7.5% ≤ HbA1c ≤ 11% ;
- ) The HbA1c value of the central laboratory before randomization: 7.0% ≤ HbA1c ≤ 10.5% ;
- ) BMI ≥ 18.5 kg/m2 and ≤ 35 kg/m 2 ;
- ) Fasting C- peptide ≥ 0.5 nmol/L ;
- ) Women of Childbearing Potential ( WOCBP ) should take reliable contraceptive measures at least 1 month before the screening, during the entire trial, and within 3 months after completing the trial; male subjects should take reliable contraceptive measures to avoid making their sexual partners to pregnant during the entire trial and within 3 months after the trial.
You may not qualify if:
- ) Type 1 diabetes;
- ) Pregnancy or lactation;
- ) The New York Heart Association (NYHA ) defines congestive heart failure as grade III or IV ;
- ) Significant history of cardiovascular and cerebrovascular diseases within 6 months before screening, defined as myocardial infarction, coronary artery bypass graft or angioplasty, valvular disease or repair, unstable angina, transient brain Ischemic attack, or cerebrovascular accident;
- ) Suffered from malignant tumors (except cured basal cell carcinoma) within 5 years before screening;
- ) Edema of lower limbs or edema of the whole body;
- ) Moderate to severe renal insufficiency \[ Calculated eGFR\<60 ml/ ( min\*1.73m2 ) using CKD - EPI formula \];
- ) urinary albumin-to-creatinine ratio of \> 300 mg /g;
- ) Triglyceride\> 5.6 mmol /L;
- ) Active liver disease and /or obvious liver function abnormalities, defined as AST\>2.5 times the upper limit of normal value and/or ALT\>2.5 times the upper limit of normal value and/or total bilirubin \>1.5 times the normal value Upper limit
- ) Clinically significant arrhythmias in the electrocardiogram examination and treatment or intervention are required. The investigator judges that it is not suitable to participate in this clinical trial;
- ) Human immunodeficiency virus (HIV) antibody-positive; Treponema pallidum antibody positive; positive hepatitis B surface antigen and HBV DNA quantification values were higher than the upper; HCV antibodies and HCV RNA quantification values were higher than the upper ;
- ) History of illegal drug abuse within 12 months before screening ;
- ) Participated in other clinical trials within 90 days before screening ;
- ) Donated whole blood, plasma, or platelets within 3 months before screening.
- +2 more criteria
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (50)
Hefei Second People's Hospital
Hefei, Anhui, China
The First Affiliated Hospital of Anhui Medical University
Hefei, Anhui, China
The Second Affiliated Hospital of Anhui Medical University
Hefei, Anhui, China
Yijishan Hospital of Wannan Medical College
Wuhu, Anhui, China
Beijing Chaoyang Hospital, Capital Medical University
Beijing, Beijing Municipality, China
Beijing Friendship Hospital, Capital Medical University
Beijing, Beijing Municipality, China
Beijing Luhe Hospital, Capital Medical University
Beijing, Beijing Municipality, China
Beijing Tongren Hospital, Capital Medical University
Beijing, Beijing Municipality, China
Beijing Tsinghua Chang Gung Memorial Hospital
Beijing, Beijing Municipality, China
Beijing University First Hospital
Beijing, Beijing Municipality, China
Chinese People's Liberation Army Rocket Army Characteristic Medical Center
Beijing, Beijing Municipality, China
Peking University People's Hospital
Beijing, Beijing Municipality, China
Xuanwu Hospital, Capital Medical University
Beijing, Beijing Municipality, China
The Second Affiliated Hospital of Chongqing Medical University
Chongqing, Chongqing Municipality, China
Three Gorges Hospital Affiliated to Chongqing University
Wanzhou, Chongqing Municipality, China
Shenzhen People's Hospital
Shenzhen, Guangdong, China
Union Shenzhen Hospital of Huazhong University of Science and Technology
Shenzhen, Guangdong, China
Harrison International Peace Hospital
Hengshui, Hebei, China
The Second Hospital of Hebei Medical University
Shijiazhuang, Hebei, China
The Third Hospital of Hebei Medical University
Shijiazhuang, Hebei, China
Huaihe Hospital of Henan University
Kaifeng, Henan, China
The First Affiliated Hospital of Henan University of Science and Technology
Luoyang, Henan, China
The Third People's Hospital of Luoyang City
Luoyang, Henan, China
Xinxiang Central Hospital
Xinxiang, Henan, China
The First People's Hospital of Chenzhou City
Chenzhou, Hunan, China
Yueyang Second People's Hospital
Yueyang, Hunan, China
Zhuzhou Central Hospital
Zhuzhou, Hunan, China
Inner Mongolia Baotou Steel Hospital
Baotou, Inner Mongolia, China
The First People's Hospital of Huai'an
Huaian, Jiangsu, China
Jiangsu Provincial People's Hospital
Nanjing, Jiangsu, China
Nanjing First Hospital
Nanjing, Jiangsu, China
The Second Affiliated Hospital of Nanjing Medical University
Nanjing, Jiangsu, China
Yifu Hospital Affiliated to Nanjing Medical University
Nanjing, Jiangsu, China
Affiliated Hospital of Xuzhou Medical University
Xuzhou, Jiangsu, China
The First Hospital of Jilin University
Harbin, Jilin, China
The Fourth Affiliated Hospital of Harbin Medical University
Harbin, Jilin, China
The Second Hospital of Jilin University
Harbin, Jilin, China
Panjin Liaoyou Baoshihua Hospital
Panjin, Liaoning, China
Jinan Central Hospital
Jinan, Shandong, China
Qilu Hospital of Shandong University
Jinan, Shandong, China
Affiliated Hospital of Jining Medical College, Shandong Province
Jining, Shandong, China
Qingdao University Hospital
Qingdao, Shandong, China
Gongli Hospital, Pudong New Area, Shanghai
Shanghai, Shanghai Municipality, China
Shanghai Minhang District Central Hospital
Shanghai, Shanghai Municipality, China
Shanghai Pudong Hospital
Shanghai, Shanghai Municipality, China
Shanghai Seventh People's Hospital
Shanghai, Shanghai Municipality, China
Xinhua Hospital Affiliated to Shanghai Jiaotong University School of Medicine
Shanghai, Shanghai Municipality, China
Central Hospital of Yuncheng City, Shanxi Province
Yuncheng, Shanxi, China
Tangshan Workers' Hospital
Tangshan, Tianjin Municipality, China
Huzhou Central Hospital
Huzhou, Zhejiang, China
Related Publications (3)
Ji L, Song W, Fang H, Li W, Geng J, Wang Y, Guo L, Cai H, Yang T, Li H, Yang G, Li Q, Liu K, Li S, Liu Y, Shi F, Li X, Gao X, Tian H, Ji Q, Su Q, Zhou Z, Wang W, Zhou Z, Li X, Xu Y, Ning Z, Cao H, Pan D, Yao H, Lu X, Jia W. Efficacy and safety of chiglitazar, a novel peroxisome proliferator-activated receptor pan-agonist, in patients with type 2 diabetes: a randomized, double-blind, placebo-controlled, phase 3 trial (CMAP). Sci Bull (Beijing). 2021 Aug 15;66(15):1571-1580. doi: 10.1016/j.scib.2021.03.019. Epub 2021 Mar 23.
PMID: 36654286RESULTJia W, Ma J, Miao H, Wang C, Wang X, Li Q, Lu W, Yang J, Zhang L, Yang J, Wang G, Zhang X, Zhang M, Sun L, Yu X, Du J, Shi B, Xiao C, Zhu D, Liu H, Zhong L, Xu C, Xu Q, Liang G, Zhang Y, Li G, Gu M, Liu J, Yuan G, Yan Z, Yan D, Ye S, Zhang F, Ning Z, Cao H, Pan D, Yao H, Lu X, Ji L. Chiglitazar monotherapy with sitagliptin as an active comparator in patients with type 2 diabetes: a randomized, double-blind, phase 3 trial (CMAS). Sci Bull (Beijing). 2021 Aug 15;66(15):1581-1590. doi: 10.1016/j.scib.2021.02.027. Epub 2021 Feb 16.
PMID: 36654287RESULTGao L, Ji L, Yan X, Cheng Z, Zhang X, Sun W, Ma J, Song W, Liu Y, Lin X, Pang W, Cao H, Chen B, Li Z, Lu X; RECAM Study Group. Efficacy and safety of chiglitazar add-on to metformin in type 2 diabetes mellitus (RECAM study). Diabetes Obes Metab. 2025 Nov;27(11):6243-6253. doi: 10.1111/dom.70009. Epub 2025 Aug 22.
PMID: 40842343DERIVED
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Linong Ji, Prof.
Peking University People's Hospital
Study Design
- Study Type
- interventional
- Phase
- phase 3
- Allocation
- RANDOMIZED
- Masking
- QUADRUPLE
- Who Masked
- PARTICIPANT, CARE PROVIDER, INVESTIGATOR, OUTCOMES ASSESSOR
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- INDUSTRY
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
March 17, 2021
First Posted
March 19, 2021
Study Start
July 6, 2021
Primary Completion
February 10, 2023
Study Completion
February 10, 2023
Last Updated
July 15, 2024
Record last verified: 2024-07
Data Sharing
- IPD Sharing
- Will not share